Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Lao PDR Health Governance and Nutrition Development Project (P151425) EAST ASIA AND PACIFIC | Lao People's Democratic Republic | Health, Nutrition & Population Global Practice | IBRD/IDA | Investment Project Financing | FY 2015 | Seq No: 4 | ARCHIVED on 23-Mar-2017 | ISR26317 | Implementing Agencies: Key Dates Key Project Dates Bank Approval Date:23-Jun-2015 Effectiveness Date:12-Oct-2015 Planned Mid Term Review Date:02-Oct-2017 Actual Mid-Term Review Date:-- Original Closing Date:31-Dec-2020 Revised Closing Date:31-Dec-2020 Project Development Objectives Project Development Objective (from Project Appraisal Document) The Project development objective is to help increase coverage of reproductive, maternal and child health, and nutrition services in target areas in Lao PDR. Has the Project Development Objective been changed since Board Approval of the Project Objective? No PHRPDODEL Components Name Component 1: Health Sector Governance Reform:(Cost $0.50 M) Component 2: Service Delivery:(Cost $19.40 M) Component 3: Nutrition Social and Behavior Change Communication:(Cost $4.00 M) Component 4: Project Management, Monitoring and Evaluation:(Cost $2.50 M) Component 5: Contingent Emergency Response Overall Ratings Name Previous Rating Current Rating Progress towards achievement of PDO  Moderately Satisfactory  Moderately Satisfactory Overall Implementation Progress (IP)  Satisfactory  Moderately Satisfactory Overall Risk Rating  Substantial  Substantial 3/23/2017 Page 1 of 12 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Implementation Status and Key Decisions The Health Governance and Nutrition Development Project is making significant progress towards achievement of Project Development Objectives. All central disbursement-linked indicators (DLIs) targets for Year 1 have been fully met, which allows payment of the full amount of DLI values allocated to these DLIs for Year 1. Four of the seven provincial level DLIs have been partially met and will receive partial payment, while the remaining three provincial DLIs are pending final validation as they require further information to determine the achievement status. Disbursement of the project continues to be strong has reached 44% after payment for Year 1 DLIs has been made. Delay in implementation of the KAP survey continues to hamper the availability of some key nutrition-delated indicators. Preliminary data are expected to be available in July 2017. 3/23/2017 Page 2 of 12 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) 3/23/2017 Page 3 of 12 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) 3/23/2017 Page 4 of 12 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) 3/23/2017 Page 5 of 12 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Risks Systematic Operations Risk-rating Tool Risk Category Rating at Approval Previous Rating Current Rating Political and Governance  Substantial  Substantial  Substantial Macroeconomic  Substantial  Substantial  Substantial Sector Strategies and Policies  Substantial  Substantial  Substantial Technical Design of Project or Program  High  High  High Institutional Capacity for Implementation and Sustainability  High  High  High Fiduciary  High  High  High Environment and Social  Moderate  Moderate  Moderate Stakeholders  Moderate  Moderate  Moderate Other  --  --  -- Overall  Substantial  Substantial  Substantial Results Project Development Objective Indicators PHINDPDOTBL  Number of women who deliver with a skilled birth attendant at home or at a health facility (DLI P1). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 72889 (12 Months, 50% over Value 63,380.00 cumulative from June 73,496.00 baseline 2015-May 2016) 3/23/2017 Page 6 of 12 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Date 01-Jun-2015 01-Jun-2016 31-Jan-2017 31-Dec-2020 Comments This indicator include total number of delivery at health facility and at home. The baseline represents aggregate value for the 14 target provinces between October 2014 and September 2015. The Actual (current) represents aggregate value between January-December 2016. Data source DHIS2. PHINDPDOTBL  Number of pregnant women who receive 4 Antenatal Care Contacts (DLI P2). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 71724 (12 Months, cumulative from June 50% over Value 59,960.00 68,358.00 2015 - May 2016) baseline Date 01-Oct-2015 01-Jun-2016 31-Jan-2017 31-Dec-2020 Comments The baseline represents aggregate value for the 14 target provinces between October 2014 and September 2015. The Actual (current) represents aggregate value between January-December 2016. Data source DHIS2. PHINDPDOTBL  Number of new women aged 15-49 years adopting long term methods of family planning (DLI P3). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 59883 (12 Months, cumulative from June 50% over Value 48,761.00 46,266.00 2015 to May 2016) baseline Date 01-Oct-2015 01-Jun-2016 31-Jan-2017 24-Oct-2020 Comments The baseline represents aggregate value for the 14 target provinces between January - September 2015. The Actual (current) represents aggregate value between January-December 2016. Data source DHIS2. 3/23/2017 Page 7 of 12 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) PHINDPDOTBL  Children age 0-6 months in target high priority nutrition districts exclusively breastfed. (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Baseline not available until Baseline survey is Value Not available Not available TBD conducted. Results should be available by July 2017. Date 01-Oct-2015 -- 31-Jan-2017 31-Dec-2020 PHINDPDOTBL  Direct project beneficiaries (Number, Core) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 116,768.00 1,400,000.00 Date 01-Oct-2015 29-Apr-2016 31-Jan-2017 31-Dec-2020 Comments This indicators is the sum of total delivery at facility and at home, 4 types of long term family planning method for women and men, children under five year of age receiving growth monitoring. This indicator include total number of delivery at health facility and at home. The actuals represent a cumulative amount between June 2015 and January 2017. PHINDPDOTBL  Female beneficiaries (Percentage, Core Supplement) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 -- 99.90 80.00 Overall Comments Intermediate Results Indicators 3/23/2017 Page 8 of 12 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) PHINDIRITBL  Number of new born children provided with birth notification in target provinces (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 40% over Value 404.00 Not available 15,725.00 baseline Date 01-Oct-2015 -- 01-Jun-2016 31-Dec-2020 Comments The baseline represents aggregate value for the 14 target provinces between October 2014 and September 2015. The Actual (current) represents aggregate value between January-December 2016. Data source DHIS2. PHINDIRITBL  Number of villages in Zones 2 and 3 in in the areas of the health centers which Integrated Outreach Sessions are conducted at leastfour times during the year (DLI P5). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 50% over Value 1,954.00 Not available 2,900.00 baseline Date 01-Oct-2015 01-Jun-2016 01-Jun-2016 31-Dec-2020 Comments The baseline represents aggregate value for the 14 target provinces between October 2014 and September 2015. The Actual (current) represents aggregate value between January-December 2016. Data source DHIS2. PHINDIRITBL  Number of women in Target Provinces who receive free maternity health care services (DLI C4). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 202789 (8 Months, cumulative from 40% over Value 6,537.00 October 2015 to May 61,385.00 baseline 2016) Date 01-Oct-2015 -- 31-Jan-2017 31-Dec-2020 Comments The baseline represents aggregate value for the 14 target provinces between October 2014 and September 2015. The Actual (current) represents aggregate value between January-December 2016. Data source DHIS2. Here we define free MCH as free delivery to avoid double counting, since the indicator definition is number of women. This indicator will be carefully reviewed during the next mission to ensure we capture the correct information. 3/23/2017 Page 9 of 12 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) PHINDIRITBL  Percentage of health centers and district hospitals which score more than 50% on the Standard Supervisory Checklist for every quarter of the Year (DLI P6). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 69% for Health Center Value 0.00 Not available 80% or more and 98% for District. Date 01-Oct-2015 31-May-2016 30-Sep-2016 31-Dec-2020 PHINDIRITBL  Social and Behavior Change Communication - Female village facilitators trained in SBCC in target districts (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value 0.00 Not available Not available 1,600.00 Date 01-Oct-2015 31-May-2016 31-Jan-2017 31-Dec-2020 PHINDIRITBL  Social and Behavior Change Communication - Number of children under 5 years who receive nutrition counselling and an updated growth chart in accordance with MOH guidelines (DLI P4). (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 28960 (cumulative for July-Dec 2015, first 6 50% over Value 0.00 669,258.00 months of DLI Year 1) baseline Date 31-Dec-2015 31-May-2016 31-Jan-2017 31-Dec-2020 Comments The Actual (current) represents aggregate value between January-December 2016. Data source DHIS2. 3/23/2017 Page 10 of 12 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) PHINDIRITBL  Social and Behavior Change Communication - Number of villages declared open defecation free in target districts. (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target Value TBD Not available Not available 400.00 Date 01-Oct-2015 -- 31-Jan-2017 31-Dec-2020 PHINDIRITBL  Percent of beneficiaries reporting satisfaction with social and behavior change communications activities taking place in their communities. (Text, Custom) Baseline Actual (Previous) Actual (Current) End Target 25% increase Value TBD Not available Not available over baseline Date 01-Oct-2015 -- 31-Jan-2017 31-Dec-2020 Overall Comments Data on Financial Performance Disbursements (by loan) Project Loan/Credit/TF Status Currency Original Revised Cancelled Disbursed Undisbursed Disbursed P151425 IDA-56760 Effective XDR 9.40 9.40 0.00 0.19 9.21 2% P151425 IDA-D0730 Effective XDR 9.40 9.40 0.00 8.11 1.29 86% Key Dates (by loan) Project Loan/Credit/TF Status Approval Date Signing Date Effectiveness Date Orig. Closing Date Rev. Closing Date P151425 IDA-56760 Effective 23-Jun-2015 17-Aug-2015 12-Oct-2015 31-Dec-2020 31-Dec-2020 P151425 IDA-D0730 Effective 23-Jun-2015 17-Aug-2015 12-Oct-2015 31-Dec-2020 31-Dec-2020 Cumulative Disbursements 3/23/2017 Page 11 of 12 Public Disclosure Copy Public Disclosure Copy The World Bank Implementation Status & Results Report Lao PDR Health Governance and Nutrition Development Project (P151425) Restructuring History Level 2 Approved on 14-Aug-2015 Related Project(s) There are no related projects. 3/23/2017 Page 12 of 12 Public Disclosure Copy